rke提出的诊断标准Р(1) Acute hypotension or cardiac arrest?(2) Acute hypoxia?(3) Coagulopathy or severe clinical hemorrhage in the absence of other explanations?(4) All of these occurring during labor, cesarean delivery, or D & E or within 30 minutes postpartum with no other explanation for the findingsР1 突发低血压或心跳骤停Р2 突发的低氧Р3 低凝或严重出血而无其他解释Р4 上述情况均发生在分娩、剖宫产,产后30min 内而排除其他情况。Р流行病学Р产妇死亡率发生率?Morgan’s 86% 1:8000-1:80,000?Clarke 61%(占美国产妇死亡的10%)?Gibert 26% 1:20,464?UK 37% (7%有神经后遗症)Р临床表现Р典型的发生时间:分娩过程和刚分娩后.?诱因:急产、外伤、多产、使用催产素、男婴. 巨大胎儿或死胎,胎粪污染等(未证实)。?典型表现:突发的严重的低血压并发展为循环衰竭而死亡。РTable 1. 常见临床表现РHypotension*? Hypoxia*? DIC*? Altered mental status*? Seizure activity? Fever? Chills? Headache? Nausea? Vomiting? Evidence of fetal distressР低血压(80-100%)?低氧(80-100%)?DIC (80-100%)?意识改变(80-100%)?抽搐?发热?寒颤?头疼?恶心?呕吐?胎儿窘迫
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